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Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation

Recent advances in supportive care and progress in the development and use of chemotherapy have considerably improved the prognosis of many children with malignancy, thus the need for intensive care admission and management is increasing, reaching about 40% of patients throughout the disease course....

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Autores principales: Piastra, Marco, Fognani, Giuliana, Franceschi, Alessia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133495/
https://www.ncbi.nlm.nih.gov/pubmed/21772950
http://dx.doi.org/10.4081/pr.2011.e13
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author Piastra, Marco
Fognani, Giuliana
Franceschi, Alessia
author_facet Piastra, Marco
Fognani, Giuliana
Franceschi, Alessia
author_sort Piastra, Marco
collection PubMed
description Recent advances in supportive care and progress in the development and use of chemotherapy have considerably improved the prognosis of many children with malignancy, thus the need for intensive care admission and management is increasing, reaching about 40% of patients throughout the disease course. Cancer remains a major death cause in children, though outcomes have considerably improved over the past decades. Prediction of outcome for children with cancer in Pediatric Intensive Care Unit (PICU) obviously requires clinical guidelines, and these are not well defined, as well as admission criteria. Major determinants of negative outcomes remain severe sepsis/septic shock association and respiratory failure, deserving specific approach in children with cancer, particularly those receiving a bone marrow transplantation. A nationwide consensus should be achieved among pediatric intensivists and oncologists regarding the threshold clinical conditions requiring Intensive Care Unit (ICU) admission as well as specific critical care protocols. As demonstrated for the critically ill non-oncologic child, it appears unreasonable that pediatric patients with malignancy can be admitted to an adult Intensive Care Unit ICU. On a national basis a pool of refecence institutions should be identified and early referral to an oncologic PICU is warranted.
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spelling pubmed-31334952011-07-19 Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation Piastra, Marco Fognani, Giuliana Franceschi, Alessia Pediatr Rep Case Report Recent advances in supportive care and progress in the development and use of chemotherapy have considerably improved the prognosis of many children with malignancy, thus the need for intensive care admission and management is increasing, reaching about 40% of patients throughout the disease course. Cancer remains a major death cause in children, though outcomes have considerably improved over the past decades. Prediction of outcome for children with cancer in Pediatric Intensive Care Unit (PICU) obviously requires clinical guidelines, and these are not well defined, as well as admission criteria. Major determinants of negative outcomes remain severe sepsis/septic shock association and respiratory failure, deserving specific approach in children with cancer, particularly those receiving a bone marrow transplantation. A nationwide consensus should be achieved among pediatric intensivists and oncologists regarding the threshold clinical conditions requiring Intensive Care Unit (ICU) admission as well as specific critical care protocols. As demonstrated for the critically ill non-oncologic child, it appears unreasonable that pediatric patients with malignancy can be admitted to an adult Intensive Care Unit ICU. On a national basis a pool of refecence institutions should be identified and early referral to an oncologic PICU is warranted. PAGEPress Publications 2011-06-16 /pmc/articles/PMC3133495/ /pubmed/21772950 http://dx.doi.org/10.4081/pr.2011.e13 Text en ©Copyright M. Piastra et al., 2011 This work is licensed under a Creative Commons Attribution 3.0 License (by-nc 3.0). Licensee PAGEPress, Italy
spellingShingle Case Report
Piastra, Marco
Fognani, Giuliana
Franceschi, Alessia
Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
title Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
title_full Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
title_fullStr Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
title_full_unstemmed Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
title_short Pediatric Intensive Care Unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
title_sort pediatric intensive care unit admission criteria for haemato-oncological patients: a basis for clinical guidelines implementation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133495/
https://www.ncbi.nlm.nih.gov/pubmed/21772950
http://dx.doi.org/10.4081/pr.2011.e13
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